Skip to main content

Table 5 Details of pelvic floor muscle training regimens

From: Mechanisms of pelvic floor muscle training for managing urinary incontinence in women: a scoping review

Author and year

PFMT at home dose

PFMT in clinic dose

Graded training

Duration

PFMT delivery

Methods for compliance

# Sessions/day

# Contractions/session

Minutes/session

# Sessions/week

# Contractions/session

Minutes/session

Individual

Group

Supervised

Unsupervised

Device assisted training

Mechanism 1. Enhanced PFM strength

Bø (2003)

3

3 sets of 8–12 per daya

 

1

   

6 mo

X

X

X

X

 

Meet wkly for intensive group

Burns et al. (1993)

 

4 sets of 20 (10 quick + 10 sustained), then ↑ 10 per set to 200

 

1

 

25–35

X

8 wkb

X

 

X

X

Biofeedback (1 of 2 groups)

Call and exercise reminder cards

Dinc et al. (2009)

2–3

3 sets of 10–15

    

X

12–28 wk

X

  

X

  

Dougherty et al. (1993)

3/wk

15–45

    

X

16 wk

X

  

X

Audio recording

Call and written records wkly

Hahn et al. (1993)

6–8

Maximal, during jumping and coughing

 

1 × 4–5 wks then monthly for measures

   

1–18 mo (mean 4.7 ± 0.2)

X

  

X

  

Hung et al. (2012)

 ≥ 3

6 high-intensity (hold 10 s and rest 10 s)

     

4 mo

X

  

X

  

Kim et al. (2007)

 ≥ 2 for follow up

2–3 sets

30 for follow up

2 then monthlyc

20a

60

 

12 wkd

X

X

X

X

Fitness exercises

 

Nystrom et al. (2018)

3

6 basic + 6 advance

    

X

3 mo

X

  

X

App-based + Knack

 

Segal et al. (2016)

2

 

1–7

1/two wks

3

 

X

16 wk

X

 

X

 

FemiScan trainer device

 

Sun et al. (2018)

3

10 slow + 3–4 fasta

20

2

 

20

 

6–8 wk

X

 

X

X

Biofeedback + electrical stimulatione

 

Theofrastous et al. (2002)

2

5 quick + 10–20 sustained

 

1 × 4 wks

 

30

X

12 wk

X

 

X

X

Biofeedback

 

Mechanism 2. Maximized awareness of timing

Cammu et al. (2000)f

 

As frequently as possible + Knack

 

2

20

30

X

10 wk

X

 

X

X

  

Junginger et al. (2014)

 

Engage precontraction into daily life

 

Median 2 (1–6) for study period

?g

15–90 (total 60–240)

 

4–6 wkh

X

 

X

X

Perineal ultrasound

 
  1. Blank cells = information was not appliable or not available. Articles retained from search results (n = 13 including 11 for enhanced PFM strength mechanism and 2 for maximized awareness of timing mechanism). This table focuses on tabulation in readiness of integration of information for critical analysis of the general quality of studies on PFMT to treat urinary incontinence, while also testing for theorized mechanism/s of effect
  2. PFMT, pelvic floor muscle training; PFM, pelvic floor muscle; mo, month; wk, week; TrA, transversus abdominis
  3. aPerformed in supine, sitting, and standing positions with legs apart
  4. bFollow up at 3 months and 6 months
  5. cAdded 2 times 60-min exercise sessions plus fitness exercises for 12 weeks and then monthly for 12 months
  6. dFollow up at 12 months
  7. eFor women with two times incontinence after completed basic training or with week strength for active training
  8. fA 10-year PFMT follow up article was also found in the main PFMT strengthening theory literature search, but it was not included in the analysis of results for the main PFMT strengthening theory since it did not report PFM strength and had no statistical analysis of correlation between changes in PFM strength and incontinence
  9. gTrA precontraction + Knack + urge strategies, number of contractions was not clear from the article
  10. hFollow up at 1 to 16 months (median 7, mean 7.6)